Practice behavior of emergency department physicians caring for patients with chest pain

[...]a US study showed that ED medicolegal and professional concerns have substantially increased hospital admissions for possible ACS [9]. Summary of emergency physicians notes No. of hospital admissions (%) n = 763 Unstable angina/non ST-elevation MIa (typical chest pain with new ECG changes and/o...

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Bibliographic Details
Published in:The American journal of emergency medicine 2019-06, Vol.37 (6), p.1210-1212
Main Authors: Sakhnini, Ali, Bisharat, Naiel
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - diagnosis
Acute coronary syndromes
Adult
Aged
Aged, 80 and over
Angina
Angiography
Cardiovascular disease
Cardiovascular diseases
Chest
Chest pain
Chest Pain - diagnosis
Chest Pain - therapy
Clinical decision making
Clinical Decision-Making - methods
Decision making
Diagnosis, Differential
Echocardiography
EKG
Electrocardiography
Emergency medical care
Emergency medical services
Emergency Service, Hospital - organization & administration
Female
Health risk assessment
Health risks
Humans
Male
Medical personnel
Middle Aged
Occupational health
Pain
Patient Discharge
Practice
Practice Patterns, Physicians
Prospective Studies
Risk Assessment - methods
Risk factors
Training
Troponin
Troponin - analysis
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Summary:[...]a US study showed that ED medicolegal and professional concerns have substantially increased hospital admissions for possible ACS [9]. Summary of emergency physicians notes No. of hospital admissions (%) n = 763 Unstable angina/non ST-elevation MIa (typical chest pain with new ECG changes and/or elevated hs-cTnT)b 136 (17.8) Typical chest pain with multiplec cardiovascular risk factors (normal hs-cTnT, without new ECG changes) 75 (9.8) Atypical chest pain with multiplec cardiovascular risk factors (normal hs-cTnT, without new ECG changes) 174 (22.8) Atypical chest pain with abnormal hs-cTnT (with or without cardiovascular risk factors, and without new ECG changes) 251 (32.9) Otherd (normal hs-cTnT, without new ECG changes) 127 (16.7) Table 1 Reasons for hospitalization of patients with chest pain based on EDa physicians' notes. Hospitalized (n = 763) Discharged (n = 3826) p value Mean age (range) 61.6 (33–94) 47 (27–93) p 
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2018.11.039